The following is all the information available on report# VAERS_ID: 715908
Vaccine(s) were received on 08/24/2016
Vaccine(s) were received in the state: PA
At the time of vaccination, patient was : 1 of age
Patient sex : F
Date reaction was reported: 09/25/2017
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: U
Patient eventually died?: N
Vaccine(s) were received in the state: PA
At the time of vaccination, patient was : 1 of age
Patient sex : F
Date reaction was reported: 09/25/2017
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: U
Patient eventually died?: N
The following Data for this patients HISTORY is available: None
The following Data for this patients ALLERGIES is available: [ ]
Description of adverse reaction: Varicella rash developed yesterday 9/24/17. Seen in office today. Treating with Acyclovir.
Vaccine(s) associated with report# 715908
| Type | Name | Manufacturer | Vaccine LOT # | Dose Series | ROUTE | Site |
|---|---|---|---|---|---|---|
| DTAPIPVHIB | DTAP + IPV + HIB (PENTACEL) | SANOFI PASTEUR | C5054AC | 4 | IM | RL |
| HEP | HEP B (RECOMBIVAX HB) | MERCK & CO. INC. | M000442 | 3 | IM | LL |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | M012985 | 1 | SC | LL |